As a proportion of the state’s development expenditure in 2023 of RM1.2 billion, the percentage earmarked for health is slightly lower compared to last year’s 5.8% at 5.46%.
The state’s health expenditures as a proportion of its development expenditures have seen steady increases in recent years, rising from 4.7% in 2020 to 5.8% in 2022.
Selangor Menteri Besar Amirudin Shari, while presenting the state budget for 2023 at the state legislative assembly, said that the state health budget includes an allocation of RM45 million for the continuation of the Iltizam Selangor Sihat (ISS) health insurance program, which benefits around 100,000 primary policyholders and their families.
Family category policyholders are entitled to basic treatment and vaccination at panel clinics in Selangor worth RM500 per year, while individual policyholders are entitled to similar benefits worth RM250 per year.
ISS primary policy holders will also receive takaful protection which includes death and disability due to accidents of up to RM5,000, critical illness benefits of up to RM5,000, natural death (RM5,000) and death assistance fund (funeral expenses) of BRL 1,000.
Family members of primary policy holders will also be entitled to accident death and disability benefits of up to RM2,000, critical illness benefits (RM2,000) and death assistance fund of RM1,000.
The state government is also allocating RM1 million towards its ISS program for civil servants. The Iltizam Selangor Sihat Penjawat Awam (ISSPA) program provides health benefits to all civil servants grade 44 and below in the state government.
Selangor’s health budget for 2023 also provides an allocation of RM5 million in the form of financial aid under the Bantuan Selangor Sihat, which has existed since 2009.
The Bantuan Selangor Sihat program provides financial assistance of up to RM5,000 to cover the cost of healthcare treatment such as kidney dialysis, eye cataract surgery, minor surgery, cancer treatment, thalassemia and purchase of selected medical equipment.
The state government will also continue its Heart Disease Treatment Scheme (Skim Rawatan Jantung Negeri Selangor) which offers free heart treatment services to eligible groups. The state government has allocated RM5 million for the program in 2023.
In addition to providing health protection and financial assistance, the state government will also complement the federal government’s efforts in primary and secondary prevention.
Primary prevention aims to prevent the occurrence of a disease, while secondary prevention emphasizes early detection of the disease.
This year, the state government introduced the Selangor Saring health screening program, which has been implemented in all 56 districts of the state.
The Selangor Saring program encompasses screening for three types of noncommunicable diseases (NCDs), including heart disease, kidney disease, diabetes, as well as oncological diseases such as breast, cervical, colorectal and prostate cancer, as well as eye diseases such as myopia. , glaucoma and retina.
Since its implementation in May 2022, Selangor Saring has received a total of 54,640 registration and screening requests covering various types of tests, with an attendance rate of 66% of participants at the program site.
A total of 45,780 screening coupons were redeemed covering physical examinations, blood tests, urinalysis, cervical, breast, colorectal, prostate cancer and eye examinations.
Aminudin said the Selangor Saring program had one of the highest disease detection rates compared to “similar programs”, as 49% of individuals screened required follow-up, consultation and further treatment.
“I believe that the Selangor Saring program achieved a statistically impressive performance for such a health screening program in Malaysia. Looking at the success of this program, the state government will continue its implementation with an allocation of RM1.5 million for the Selangor Saring program and RM1 million for Selangor Cancer,” said Aminudin.
The state government will also continue its Selangor Mental Sihat (SEHAT) program in 2023 with a total allocation of RM500,000. The SEHAT program includes early screening, SEHAT line, psychiatric care grant, module development, and counselor training.
Selangor’s health budget will also cover the state’s Selangor Healthy Children Program (ASAS) nutrition program worth RM500,000.
“Children are a vulnerable group who are at high risk of experiencing stunted growth and development as a result of a food crisis,” said Aminudin.
“In 2021, the state government introduced ASAS to specifically address malnutrition issues among children in Selangor. The identified children receive basic baskets containing special powdered milk, multivitamins, high-calorie foods and counseling services for a period of six months.
“Through the pilot project we implemented, the state government successfully provided intervention for a total of 500 children with growth problems in eight selected DUNs. In this regard, the state government will continue and expand the implementation of the ASAS program with an allocation of RM500,000 for the year 2023.”
Amirudin also announced the allocation of RM200,000 for the coming year under the state-owned Menteri Besar Selangor Incorporated (MBI) to address the poverty of the period, including awareness campaigns and free sanitary napkins.
He cited a 2018 World Bank study that estimated that more than 500 million women worldwide are unable to access basic needs during their period.
“Discussions about the poverty of the period should not be politicized or considered taboo. This issue involves the fundamental rights of girls and women, especially in terms of health.”